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Mountainview Consulting Group Didactic Workshop Program |
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Mountainview Consulting Group
Didactic Workshop Program
Workshop Title: ?Integrating Primary Care and Behavioral Health Services: A Compass and a Horizon?
Increasingly, primary care systems are attempting to integrate behavioral health services in response to the need to improve quality of care, control psychosocial drivers of healthcare use and to increase consumer satisfaction with services. While the move toward integration offers an unparalleled opportunity to improve quality and reduce medical costs, there are many complex issues that need to be understood and resolved if the integration mission is to succeed. Participants in this introductory workshop will be exposed to health services, epidemiological and clinical research that reveals the need for, and potential benefits of, integration. A major issue to be addressed is that behavioral health primary care integration is not a single entity, but rather is diverse set of strategies. Participants will learn about different models of integrating behavioral health services and parameters for evaluating the strengths and weaknesses of each approach. The workshop will introduce a population care framework for analyzing the demand for different types of integrated services. Horizontal and vertical integration programs will be described and differentiated using population care principles. Participants will learn about existing horizontal and vertical integration programs, as will data pertaining to the clinical and cost effectiveness of such programs. Participants will learn the key characteristics of the Primary Behavioral Health Model, an integrated services model that has considerable field research support. The overall emphasis of the workshop will be to help attendees appreciate the nuances of creating effective primary care behavioral health programs, while generating realistic integration strategies for both urban and rural healthcare settings.
Workshop Title: ?How to Design and Implement Your Primary Care Behavioral Health Service?
While the notion of integrating behavioral health and primary care services is intuitively appealing to both providers and consumers, many systems that have launched integration initiatives have encountered both predictable and unpredictable obstacles to the planning and implementation process. This advanced workshop for administrators and medical leaders is designed to provide a systematic framework for planning and implementing an integrated primary care behavioral health program. To start the workshop, participants will complete a system level assessment to provide a ?snapshot? of system progress in several key areas. This exercise will help identify areas of strength as well as potential barriers to successful design and implementation. The workshop will provide practical assistance in seven domains that are critical for success: Creating political/organization readiness; defining core integration philosophies; developing sustainable financing strategies; identifying program mission, scope and service parameters; creating a viable administrative infrastructure; addressing staff training needs; and measuring key program performance indicators. Each area will be addressed at length, including specific strategies that have been tried with success in integration projects around the country. There will be ample opportunity for audience participation and group problem solving. At the conclusion of the workshop, participants will be asked to formulate specific planning and/or implementation goals that can be employed locally.
Workshop Title: Managing Behavioral Health Problems in Primary Care: Responding to the Challenge
Various studies have indicated that primary care providers spend as much as 30-50% of their daily practice-time addressing the behavioral health problems of their patients. In Community Health settings, this figure may be low, given that approximately 70% of all patients have a primary mental health or chemical dependency diagnosis. Unfortunately, the work pace of primary care, the sheer volume of patients, the level of need and the absence of integrated on site behavioral health services makes it very difficult to effectively respond to behavioral health issues. This workshop for clinicians will provide practical clinical, practice management, consultation and team management strategies for addressing behavioral health problems. Attendees will start the workshop by completing a brief self-assessment of their behavioral health intervention skills. The exercise is intended to help participants create self-directed learning objectives that can be refined during the course of the workshop. The majority of the workshop is devoted to brief assessment and intervention concepts that fit the ?15 minute? hour, where 1-3 minute behavioral interventions are the norm. In addition, attendees will learn strategies for expanding the impact of simple interventions through team based management. Data will be presented to show that even simple, time limited interventions can have a significant impact on client functioning. In some venues, behavioral health providers are available on site to provide consultation and brief treatment. Participants will learn the key characteristics of the Primary Behavioral Health Model, an approach that seeks to optimize the impact of an on-site behavioral health provider. Data supporting the clinical and cost effectiveness of this approach will be discussed.
Workshop Title: Behavioral Health in Primary Care: Mastery of the Basics
In order to work successfully in the integrative behavioral care model, both medical providers and behavioral health providers have to change clinical practice habits. This workshop exposes participants to two important overarching themes: how to get an integrative behavioral care practice up and running and the important distinctions between a consultative co-management model and a referral based specialty psychotherapy model. Next, participants learn in detail about the core competencies required for effective integrative practice: clinical skills, practice management skills, consultation skills, team related performance skills, documentation skills and risk management skills. Finally, participants are exposed to the four phases of the 20-30 minute co-management model: how to introduce integrative care to the client, how to do an appropriate, streamlined diagnostic and functional assessment, how to develop functionally based behavior change targets and how to blend the behavior change plan into the team based health care process.
 
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